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A 33-year-old member asked:

Are steroid epidural injections and physical therapy effective treatments for severe spinal stenosis?

3 doctor answers9 doctors weighed in
Dr. Greg Khounganian
Orthopedic Spine Surgery 18 years experience
Not really: With severe spinal stenosis there is a very tight canal where nerves travel. Injecting anything into an already tight canal can be dangerous and worsen the symptoms. Physical therapy relies on the bodies mechanics to help alleviate the canal stenosis. When it is already tight, there is very little that can be done. A spine surgeon should evaluate to determine if a decompression is necessary.
Dr. Peter Zimmerman
Pain Management 33 years experience
Sometimes: It depends on the underlying etiology of your stenosis.
Dr. Qamar Khan
Pain Management 17 years experience
Yes: And Yes. However if they are not helping you may need surgery.
Dr. Adam Lewis
Dr. Adam Lewis commented
Neurosurgery 35 years experience
Recent studies have questioned the validity and effectiveness of epidural injections for spinal stenosis. Discuss your back problems with a spine specialist to develop a rational approach to relieving the pain.
Jul 23, 2014

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Last updated Dec 30, 2016

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